“…Although pathological conditions of the shoulder and wrist joints in individuals with paraplegia who are wheelchair dependent have been extensively studied [3,[13][14][15][16][17][18][19], only a few studies focused on the prevalence of elbow pain and its etiologies [20][21][22]. Several previous studies have focused primarily on the prevalence of wrist pain.…”
Age and the length of time since injury correlated with a higher rate of shoulder, elbow, and wrist pain. The completeness of injury, neurological level, and gender were correlated with shoulder, elbow, and wrist pain, respectively.
“…Although pathological conditions of the shoulder and wrist joints in individuals with paraplegia who are wheelchair dependent have been extensively studied [3,[13][14][15][16][17][18][19], only a few studies focused on the prevalence of elbow pain and its etiologies [20][21][22]. Several previous studies have focused primarily on the prevalence of wrist pain.…”
Age and the length of time since injury correlated with a higher rate of shoulder, elbow, and wrist pain. The completeness of injury, neurological level, and gender were correlated with shoulder, elbow, and wrist pain, respectively.
“…The incidence of shoulder pain in manual wheelchair users has been reported to range from 42% [1] to 66% [2]. Rotator cuff muscle injury is most commonly observed, with a significantly higher prevalence reported in manual wheelchair users in comparison to aged matched controls [3] Rate of rotator cuff injury is associated with increasing age and length of time of wheelchair dependency [4].…”
The aim of the study was to investigate if push-rim kinetics could be used as markers of glenohumeral joint demand during manual wheelchair accessibility activities; demonstrating a method of biomechanical analysis that could be used away from the laboratory. Propulsion forces, trunk and upper limb kinematics and surface electromyography were recorded during four propulsion tasks (level, 2.5% cross slope, 6.5% incline and 12% incline). Kinetic and kinematic data were applied to an OpenSim musculoskeletal model of the trunk and upper limb, to enable calculation of glenohumeral joint contact force. Results demonstrated a positive correlation between propulsion forces and glenohumeral joint contact forces. Both propulsion forces and joint contact forces increased as the task became more challenging. Participants demonstrated increases in trunk flexion angle as the requirement for force application increased, significantly so in the 12% incline. There were significant increases in both resultant glenohumeral joint contact forces and peak and mean normalized muscle activity levels during the incline tasks. This study demonstrated the high demand placed on the glenohumeral joint during accessibility tasks, especially as the gradient of incline increases. A lightweight instrumented wheelchair wheel has potential to guide the user to minimize upper limb demand during daily activity.
“…With growing use of walking aids during the evolution of the disease, they could improve osteoarthritis and tendinitis. The low rate of tendinitis in our study may be related to the partial use of wheelchair, unlike the spinal cord injury patient [21]. In addition, motor impairment of the upper limb was not evaluated in our study.…”
Introduction: Musculoskeletal disorders and back pain can occur as a result of irregular, asymmetric movement patterns and postures due to muscular weakness, spasticity or imbalance in Multiple Sclerosis (MS).
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